{"npi":"1992742753","type":"NPI-1","status":"active","name":{"display":"Jean Edmondson NP","other":[],"first":"JEAN","last":"EDMONDSON","middle":"A","credential":"NP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"MI","license":"JE215622"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"MI","license":"4704215622"},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"MI","license":"4704215622"}]},"addresses":[{"purpose":"LOCATION","street_1":"23829 LITTLE MACK AVE","city":"SAINT CLAIR SHORES","state":"MI","postal_code":"480801186","country_code":"US","street_2":"SUITE 100","phone":"5867731300","fax":"5867731600"},{"purpose":"MAILING","street_1":"23829 LITTLE MACK AVE","city":"SAINT CLAIR SHORES","state":"MI","postal_code":"480801186","country_code":"US","street_2":"SUITE 100","phone":"5867731300","fax":"5867731600"}],"license":{"state":"MI","number":"4704215622"},"identifiers":[{"type_code":"01","label":"Other","value":"5008605420","state":"MI","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"05","label":"Medicaid","value":"4761826","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050924000067","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MI","pac_id":"8921032368"}]},"enumeration_date":"2006-06-01","last_updated":"2021-11-08","_meta":{"source":"NPPES","snapshot_date":"2021-11-08","doc_url":"https://findmynpi.com/api"}}